Anderson, Douglas John
Anderson, Douglas John is an sole proprietor health care provider with primary practice located at 500 5Th Ave Suite 923, New York NY 10110-0002. He recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as his primary health care specialty. Anderson, Douglas John can be contacted via phone (212) 764-9083.Contact Information
Primary practice address
500 5Th Ave Suite 923
New York NY 10110-0002
Phone: (212) 764-9083
Fax: (212) 764-0306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 108132 | New York |
Profile Details
| NPI number | 1497954572 |
|---|---|
| LBN Legal business name | Anderson, Douglas John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jul 17th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497954572 | NPPES |
| New York | Other | 34H221 | EMPIRE BLUE CROSS & BLUE |
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